HomeMy WebLinkAboutHS202000023 Application 2021-10-07Rental
Registry
161'
Albemarle County
401 Mclnti Development
CommunShort-Term
Annual Application
Charlottesville, VA 22902
Phone 434.296,5832
w++w.albemarle org
Prior to opening for business, a;toperators of short-term rentals (including iFbm 4*i,:, i4 reYfoasly apprtI bed and breakfasts and"".
accessory tourist lodging rentals) must `
• Register With this form
• Ob tain an approved ion ingclearame(requires VDH and building/fire safety inspection)
• Register foraJ3u,C ss erase and remitr i �ttdggs
Annually following the initial approvals, all operators of short-term rentals must:
• Renew theirregistration with this form
• Pass a ire safety inspection
• Renewtheirgt_rgi,Led ax
Fields marked with an "asterisk are the minimum required for registration.
1. Short Term Rental Information
A whole house rental is a short term rental of a home during which the caviler is not required to be present Whole house rentals are only permitted on
Rural Area parcels of 5+acres.
'APPROVED HOMESTAY(H5) BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING{ATQ CLEARANCE PERMITNUMBERpF APPUCABLEI!
'ADDRESS
__�n.,nti.
*CITY, STATE. ZIP: j P `n.GIV 1
TAX MAP PARCEL (IF KNOWN): I
ro
'GUESTBEDROOMS -;� w
2. Property Owner/Operator Information
3. Responsible Agent Information
The responsible adanPmust be available within Omiles of the hanestay at all tinies during a horrestay use, and must respond and attempt in good faith to
resolwanycomplaintsr✓ithin of beingcon cted.
.U,,�,—
,OWNER/OPERATORIS RtS CiEf13:; x� ❑YES t5(NO, IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
STATE.
PHONE _.�.. / 1 / 0, ;..'
FJROrFICE USE ONLY
FeeAmt 0527 O$0 vr'th dearam�yDp'u+retion Chh7_
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er
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vvl Sy'� rt 1 I . C V '\ �
13 Accepted 0 Denied
Reviewed by_
Registration Date;_J_� Ty i '
v. 9.17.201 Page 1 of 1